Individual
DANIEL WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 469-7629
Mailing address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 469-7629
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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